Summary

Di Sala syndrome or fetal warfarin syndrome/fetal warfarin embryopathy is a rare condition as result of fetal exposure due
to maternal ingestion of warfarin during pregnancy. The authors report here a male infant with this condition whose mother
was suffering from rheumatic mitral valvular heart disease for which she underwent prosthetic mitral valvular replacement
surgery and put on injectable long acting penicillin and oral low-molecular weight anticoagulant drug (warfarin) for life
long. The patient presented with facial dysmorphism, pectus excavatum, stippled epiphyses dolichocephaly, brachydactyly, polydactyly
short neck and growth retardation. Shortened fourth metacarpal bones were also noted in this case which was not yet reported
in literatures, to the best of our knowledge.